Organization
RIVER RIDGE, LLC
Active
Other names
River Ridge, LLC-Burnsville outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN P SAMMON MA, LMFT, LADC (PRESIDENT)
(952) 564-3000
Entity
Organization
Contact information
Practice address
14750 LAC LAVON DR, BURNSVILLE, MN 55306-6398
(952) 894-7722
Mailing address
151 W BURNSVILLE PKWY, SUITE 103, BURNSVILLE, MN 55337-2524
(952) 894-7722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MN
Other
Enumeration date
09/24/2015
Last updated
09/29/2015
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